Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Lens sphc trifo 7.25-12/4.25
Boulder, CO
See all hospitals reporting HCPCS V2313 →Price type
Boulder Community Health’s median price of $125 is 8% below the median hospital's median price ($136), higher than 23% of the 727 hospitals reporting HCPCS V2313. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commercial professional · fee schedule · both | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Anthem commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 3 | Anthem managed care professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 4 | Aetna medicare advantage professional · fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $110 | $110 | $12 | 11% | — | $98 – $123 |
| 6 | Aetna medicare advantage facility · case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 7 | Anthem medicare advantage facility · case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 8 | Humana medicare advantage professional · fee schedule · both | $123 | $123 | — | — | — | $123 – $123 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 10 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 11 | Kaiser medicare advantage facility · case rate · outpatient | $126 | $126 | $1 | 0% | — | $125 – $126 |
| 12 | Devoted medicare advantage facility · case rate · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 13 | Kaiser medicare advantage professional · fee schedule · both | $132 | $132 | — | — | — | $132 – $132 |
| 14 | Aetna commercial professional · fee schedule · both | $147 | $147 | $45 | 31% | — | $102 – $192 |
| 15 | Kaiser commercial professional · fee schedule · both | $157 | $157 | — | — | — | $157 – $157 |
| 16 | MultiPlan commercial professional · fee schedule · both | $189 | $189 | — | — | — | $189 – $189 |
| 17 | Phcs commercial professional · fee schedule · both | $189 | $189 | — | — | — | $189 – $189 |
| 18 | Kaiser commercial facility · case rate · outpatient | $267 | $267 | $32 | 12% | — | $235 – $300 |
| 19 | Kaiser managed care facility · case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
Last updated: Sep 16, 2026
See Trifocal spectacle lens, high power, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.